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General NPI Number Information
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NPI Number | 1447780432
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Entity Type | Organization
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Legal Business Name | N. DAVID HUBBARD, LMHC, PL
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Dates
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Enumeration Date | 06/13/2017
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Last Update Date | 06/13/2017
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Provider Practice Location Address
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Address Line | 156 N COUNTY HIGHWAY 393
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City | SANTA ROSA BEACH
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State | FL
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Zip | 32459-5349
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Country | US
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Telephone | 850-307-5273
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Fax | 850-279-4999
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Provider Business Mailing Address
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Address Line | PO BOX 5116
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City | NICEVILLE
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State | FL
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Zip | 32578-5116
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Country | US
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Telephone | 850-240-9551
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Fax | 850-279-4999
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Authorized Official
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Title or Position | LICENSED MENTAL HEALTH COUNSELOR
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Name | MR. NORMAN DAVID HUBBARD
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Credential | MS, MA, LMHC
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Telephone | 850-307-5273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH2194
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License Number State | FL
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